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A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO?s covered members only.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Managed Care Organization Pharmacy |
3336M0003X | 58 | Medical Supply Company with Pharmacist | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company | |
Pharmacy |
333600000X | 58 | Medical Supply Company with Pharmacist |
| NPI Number | 1861537748 |
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| LBN Legal business name | WALGREEN CO | ||||||||||||
| Authorized official | KIRA TAYLOR - (MANAGER) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | Yes | ||||||||||||
| Enumeration date | 02/20/2007 | ||||||||||||
| Last updated | 03/07/2023 - About 3 years ago | ||||||||||||
| Identifiers |
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WALGREEN CO
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WALGREEN CO